Rate and Localization of Graft Detachment in Descemet Membrane Endothelial Keratoplasty

Cornea
Anna-Karina B MaierNecip Torun

Abstract

To investigate the rate and localization of graft detachment after Descemet membrane endothelial keratoplasty. Sixty-six consecutive cases operated between June and August 2014 at the Charité-Universitätsmedizin Berlin were examined prospectively 1 week postoperatively. A single masked observer analyzed the rate and localization of graft detachment using optical coherence tomography (OCT), and the rebubbling rate was measured. Localization of graft detachment was correlated to the incision approach. Preoperative data were correlated to the rate of graft detachment and rebubbling. Graft detachment occurred in more than 2 clock hours and with postoperative corneal edema in 33.3% and required rebubbling. In 33.3%, graft detachment occurred in more than 2 clock hours and with postoperative corneal edema and required rebubbling. The mean graft detachment rate was 8.3% per clock hour. A significantly higher graft detachment rate was noted in the inferior clock hours (21.1%, P < 0.0001, 16.7%, P = 0.003). Only higher age of the patient correlated to a higher rate of graft detachment (P = 0.022). No correlation was found between localization of graft detachment and the incision approach (P = 0.615). The graft detachment rate is high af...Continue Reading

References

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Nov 26, 2013·Cornea·Mark S Gorovoy
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Oct 7, 2014·American Journal of Ophthalmology·Anna-Karina B MaierNecip Torun
Dec 3, 2014·Ophthalmology·Marina Rodríguez-Calvo-de-MoraGerrit R J Melles
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May 21, 2015·The British Journal of Ophthalmology·Marcus AngDonald Tan

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Citations

Aug 29, 2020·European Journal of Ophthalmology·Daniel PilgerNecip Torun
Nov 13, 2020·Current Eye Research·Enken GundlachAnna-Karina B Maier
Jan 6, 2021·The British Journal of Ophthalmology·Rashmi DeshmukhRasik B Vajpayee
Feb 19, 2021·The British Journal of Ophthalmology·Suryan DunkerUNKNOWN Dutch Cornea Consortium
Feb 17, 2021·Cornea·Enken GundlachAnna-Karina B Maier

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